Reinterventi su protesi valvolari cardiache.

Translated title of the contribution: Reinterventions on cardiac valve prosthesis

E. Quaini, E. Vitali, T. Colombo, E. Citterio, F. Donatelli

Research output: Contribution to journalArticle

Abstract

From January 1978 to December 1984, 214 patients underwent a total of 243 reoperations for repair or replacement of a prosthetic heart valve. On the basis of the number of valve reoperations in the same anatomic position within the heart, the patients were divided into three groups. Overall hospital mortality was 23.4% (CL 20.3-26.7) in Group I (214 patients), 48% (CL 36.1-60.1) in Group II (25 patients), 25% (CL 3.3-62.6) in Group III (4 patients). Hospital mortality appeared to be related to urgency of reoperation (p less than 0.001 in Group I; p = 0.037 in Group II), primary indication for reoperation (p = 0.034 in Group I; p = 0.022 in Group II), association with other cardiac surgical procedures (p = 0.00253 in Group I). Hospital mortality in Group I was significantly higher (p = 0.0056) when reoperation was performed within one year after valve replacement. No significant differences in urgency and emergency rate were noted between reoperations on mechanical heart valves and bioprostheses. No significant differences in bleeding complications were noted between reoperations and initial valve replacement. Mean follow-up is 37.4 +/- 21.8 months (range 2 to 85 months). Actuarial survival rate is 82.8 +/- 3.1% at 1 year, 78.7 +/- 3.5% at 2 years and 71.5 +/- 5.1% at 5 years; 90.9% (CL 87.4-93.6) of the followed patients are in I or II NYHA class. The results appear to suggest that when significant (on clinical or instrumental criteria) prosthetic disfunction is diagnosed, reoperation should be undertaken early to minimize operative risk. The Authors point out that surgery in such patients also ensures satisfying long-term results.

Translated title of the contributionReinterventions on cardiac valve prosthesis
Original languageItalian
Pages (from-to)1181-1190
Number of pages10
JournalGiornale Italiano di Cardiologia
Volume15
Issue number12
Publication statusPublished - Dec 1985

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Quaini, E., Vitali, E., Colombo, T., Citterio, E., & Donatelli, F. (1985). Reinterventi su protesi valvolari cardiache. Giornale Italiano di Cardiologia, 15(12), 1181-1190.